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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000850

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Beatrice Marie Stella Chaisson Sex Female

Date of Birth September 2, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father Nazarie Chaisson MAIDEN NAME of Mother Marie Louise Loisseau

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Halifax Present address of Father deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Magdalen Islands

Race Name and present address of Physician in attendance at birth

Signature of Applicant Beatrice M Geldart Address of Applicant Dartmouth Date August 10, 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Beatrice Marie Stella Chaisson

Born at Halifax in the County of Halifax

That Beatrice Marie Stella Chaisson Whose Birth is sought to be registered was

born at Halifax Halifax County on September 2, 1921

My knowledge of the fact and date of such Birth is based on the following Circumstances:

Church records show given names in incorrect order Baptism

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